Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter Placement
Placement of image-guided tunneled and non-tunneled large-bore central venous catheters (CVCs) are common procedures in interventional radiology. Although leukopenia and/or thrombocytopenia are common at the time of placement, the roles these factors may have in subsequent catheter-related infection...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-03-01
|
| Series: | Tomography |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2379-139X/8/2/52 |
| _version_ | 1797409183969050624 |
|---|---|
| author | Abigail Luman Keith B. Quencer Claire Kaufman |
| author_facet | Abigail Luman Keith B. Quencer Claire Kaufman |
| author_sort | Abigail Luman |
| collection | DOAJ |
| description | Placement of image-guided tunneled and non-tunneled large-bore central venous catheters (CVCs) are common procedures in interventional radiology. Although leukopenia and/or thrombocytopenia are common at the time of placement, the roles these factors may have in subsequent catheter-related infection have yet to be investigated. A single-institution retrospective review was performed in patients who underwent CVC placement in interventional radiology between 11/2018–6/2019. The electronic medical record was used to obtain demographics, procedure details, pre-placement laboratory values, and the subsequent 90-day follow-up. A total of 178 tunneled and non-tunneled CVCs met inclusion criteria during this time period. White blood cell (WBC) and platelet counts were found to be significant risk factors for subsequent infection. Administration of pre-procedure antibiotics was not found to be a significant factor for subsequent infection (<i>p</i> = 0.075). Leukopenia and thrombocytopenia at the time of CVC placement are both risk factors of line infection for tunneled large-bore CVCs. This should lead to the consideration of using a non-tunneled CVC when clinically feasible, or the delayed placement of these catheters until counts recover. |
| first_indexed | 2024-03-09T04:10:41Z |
| format | Article |
| id | doaj.art-6c88e13d95bb41848a3c8c5084633151 |
| institution | Directory Open Access Journal |
| issn | 2379-1381 2379-139X |
| language | English |
| last_indexed | 2024-03-09T04:10:41Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tomography |
| spelling | doaj.art-6c88e13d95bb41848a3c8c50846331512023-12-03T14:01:06ZengMDPI AGTomography2379-13812379-139X2022-03-018262763410.3390/tomography8020052Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter PlacementAbigail Luman0Keith B. Quencer1Claire Kaufman2School of Medicine, University of Utah, Salt Lake City, UT 84132, USADepartment of Radiology and Imaging Sciences, School of Medicine, University of Utah, Salt Lake City, UT 84132, USADepartment of Radiology and Imaging Sciences, School of Medicine, University of Utah, Salt Lake City, UT 84132, USAPlacement of image-guided tunneled and non-tunneled large-bore central venous catheters (CVCs) are common procedures in interventional radiology. Although leukopenia and/or thrombocytopenia are common at the time of placement, the roles these factors may have in subsequent catheter-related infection have yet to be investigated. A single-institution retrospective review was performed in patients who underwent CVC placement in interventional radiology between 11/2018–6/2019. The electronic medical record was used to obtain demographics, procedure details, pre-placement laboratory values, and the subsequent 90-day follow-up. A total of 178 tunneled and non-tunneled CVCs met inclusion criteria during this time period. White blood cell (WBC) and platelet counts were found to be significant risk factors for subsequent infection. Administration of pre-procedure antibiotics was not found to be a significant factor for subsequent infection (<i>p</i> = 0.075). Leukopenia and thrombocytopenia at the time of CVC placement are both risk factors of line infection for tunneled large-bore CVCs. This should lead to the consideration of using a non-tunneled CVC when clinically feasible, or the delayed placement of these catheters until counts recover.https://www.mdpi.com/2379-139X/8/2/52central venous catheterleukopeniathrombocytopeniainfectioninterventional radiology |
| spellingShingle | Abigail Luman Keith B. Quencer Claire Kaufman Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter Placement Tomography central venous catheter leukopenia thrombocytopenia infection interventional radiology |
| title | Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter Placement |
| title_full | Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter Placement |
| title_fullStr | Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter Placement |
| title_full_unstemmed | Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter Placement |
| title_short | Pre-Procedure Thrombocytopenia and Leukopenia Association with Risk for Infection in Image-Guided Tunneled Central Venous Catheter Placement |
| title_sort | pre procedure thrombocytopenia and leukopenia association with risk for infection in image guided tunneled central venous catheter placement |
| topic | central venous catheter leukopenia thrombocytopenia infection interventional radiology |
| url | https://www.mdpi.com/2379-139X/8/2/52 |
| work_keys_str_mv | AT abigailluman preprocedurethrombocytopeniaandleukopeniaassociationwithriskforinfectioninimageguidedtunneledcentralvenouscatheterplacement AT keithbquencer preprocedurethrombocytopeniaandleukopeniaassociationwithriskforinfectioninimageguidedtunneledcentralvenouscatheterplacement AT clairekaufman preprocedurethrombocytopeniaandleukopeniaassociationwithriskforinfectioninimageguidedtunneledcentralvenouscatheterplacement |